Who We Serve/Hospital-Based Practices
Hospital-based dental practices
Dental billing support for hospital-based dental practices.
Outsourced dental billing for dental clinics and departments inside hospitals and health systems. Dental and medical claims, insurance verification, credentialing, and AR follow-up handled by one team inside your software.
What it involves
Hospital-based dental billing mixes dental and medical rules.
Dental clinics inside a hospital or health system often see patients who are covered by medical insurance, dental insurance, or both. Many procedures, such as surgical extractions, biopsies, and treatment after trauma, can be billed to medical insurance when the right codes and documentation are used.
These clinics also work within larger organizations that have their own systems and rules. A dental billing team has to follow those rules while keeping dental claims, medical claims, and open balances organized and moving.
What these practices need
What a hospital-based dental clinic needs from a billing team.
Dental and medical billing in one place
Claims routed to the right payer, using CDT codes for dental and CPT and ICD-10 codes for medical.
Medical necessity documentation
Diagnosis codes, clinical notes, and imaging that support medical claims.
Insurance verification before every visit
Dental and medical benefits confirmed before the patient is seen, including pre-authorization requirements.
Pre-authorization tracking
Requests submitted, followed up, and confirmed before treatment.
Daily aging follow-up
Claims worked every business day so balances do not age.
Credentialing for every provider
Enrollment, re-credentialing, CAQH, and Medicare and Medicaid enrollment tracked and kept current.
Where claims go wrong
Common billing problems in hospital-based dental care.
Two payer types in one clinic
Dental and medical coverage use different forms, codes, and rules. Mixing them up leads to denials.
Medical necessity and referrals
Patients often arrive by referral, and medical payers expect the records to show why treatment was needed.
Pre-authorization for surgical and complex care
Approval has to be in place before treatment, and follow-up cannot be left to chance.
Many providers and payers to track
Several clinicians, several payers, and several renewal dates make credentialing lapses easy to miss.
How ZenHub supports you
Billing support for dental and medical claims.
ZenHub services that apply to a hospital-based dental clinic, working inside the software your clinic already uses.
Dental billing & RCM
Medical billing for dental procedures, including surgical extractions and biopsies billed to medical when medical pays, with pre-authorization tracking, denial management, and appeals.
Learn about dental billing & rcm Before the visitInsurance verification
Benefits are confirmed before the visit so the clinic knows which coverage applies and what needs approval.
Learn about insurance verification Every business dayAR follow-up
Aging is worked every business day so dental and medical claims keep moving.
Learn about ar follow-up Payer enrollmentCredentialing
Initial credentialing, re-credentialing, CAQH maintenance, and Medicare and Medicaid revalidation tracked per payer per provider.
Learn about credentialingWe work inside the software you already use — Open Dental, Dentrix, Eaglesoft, Curve, and more. See the software we support
Questions
Hospital-Based Practices billing — common questions.
Do you support billing for hospital-based dental clinics?
Our billing, insurance verification, AR follow-up, and credentialing services work inside the practice software a clinic already uses. Book a call and we will review how your clinic is set up and what you need.
Can you bill medical insurance for dental procedures?
Yes. Our billing service includes medical billing for dental procedures, such as surgical extractions and biopsies billed to medical when medical pays.
Do you track pre-authorizations?
Yes. Pre-authorization tracking is part of our billing service. Requests are submitted, followed up, and confirmed before the patient sits in the chair.
Does patient data stay in our systems?
Yes. We work inside your systems using your own login credentials and access controls, and we do not extract, store, or transmit PHI outside your practice’s own platforms. Our operations are HIPAA-compliant, and BAAs are available.
Keep exploring
See how we support other practice types.
Ready when you are
Tell us how your practice runs.
Book a call. We will talk through your office, your payers, and where billing is slowing you down.
Replies within one business day · during your practice hours